Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
166 participants
INTERVENTIONAL
2017-06-10
2018-10-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
NONE
Study Groups
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Ultrasound assisted lumbar puncture
The intervention of interest will be the ultrasound-assisted lumbar puncture (UALP). To do this, the treating physician will perform a bedside ultrasound of the spine to identify and mark the level of the conus medullaris and preferred puncture site prior to LP
ultrasound-assisted lumbar puncture
The ultrasound probe type will be selected by the treating pediatric emergency physician who has been trained according to standards outlined below. They will first identify the conus medullaris and make a horizontal marking with a sterile pen on the patient's back. Using a transverse view, they will then identify the midline of the patient's spine (using adjacent spinous processes) and will make 2 vertical skin markings on either side of the probe. Next, they will orient the probe in a longitudinal view to identify the desired vertebral interspace and will make 2 horizontal skin markings on either side of the probe at this level. Finally the 4 lines will be joined together at an intersection point, which will be the predetermined site for puncture attempt.
Standard lumbar puncture
The control group will have a standard landmark-based lumbar puncture
No interventions assigned to this group
Interventions
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ultrasound-assisted lumbar puncture
The ultrasound probe type will be selected by the treating pediatric emergency physician who has been trained according to standards outlined below. They will first identify the conus medullaris and make a horizontal marking with a sterile pen on the patient's back. Using a transverse view, they will then identify the midline of the patient's spine (using adjacent spinous processes) and will make 2 vertical skin markings on either side of the probe. Next, they will orient the probe in a longitudinal view to identify the desired vertebral interspace and will make 2 horizontal skin markings on either side of the probe at this level. Finally the 4 lines will be joined together at an intersection point, which will be the predetermined site for puncture attempt.
Eligibility Criteria
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Inclusion Criteria
* Requiring a lumbar puncture as part of their work-up, as determined by the treating pediatric emergency physician.
Exclusion Criteria
* Patients with ventricular shunts
* Patients deemed too unstable to have procedure performed
* Patients at risk for significant bleeding (coagulopathy, thrombocytopenia, etc)
* Parents unable to give consent or patients unable to assent for an acute reason
18 Years
ALL
No
Sponsors
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St. Justine's Hospital
OTHER
Responsible Party
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Jocelyn Gravel
MD, MSc
Principal Investigators
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Jocelyn Gravel, MD, MSc
Role: PRINCIPAL_INVESTIGATOR
Sainte-Justine Hospital
Locations
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Sainte-Justine Hospital
Montreal, Quebec, Canada
Countries
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Other Identifiers
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UALP
Identifier Type: -
Identifier Source: org_study_id
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